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Name *

First Name

Last Name

Which genders apply to you? *

Select all that apply, or select "polygender" or "multigender" if you have many genders but don't wish to identify them all.

Non-Binary (general)

Agender

Androgyne

Aporagender

Bigender / Two Genders

Demiboy

Demifluid

Demiflux

Demigender

Demigirl

Genderfluid / Genderflexible

Genderqueer

Intersex

Librafluid / Libraflux / Agenderflux

Librafeminine

Libramasculine

Libranonbinary

Multigender

Neutrois

Pangender

Polygender

Transgender (non-binary)

Transgender (binary)

Trigender

Xenogender

Other - please include in notes section of form

Cis-gendered Male or Female